HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
i ., � Building&Code Regulation Division•
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COUNTY 2300 Virginia Avenue
F R k '.'.` Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:372-462-6443 ,,
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1°t - O vN
0J'2N-'v e; 4-S
Ic •A-kc- sQX(\ licensedasa( Contract)*/Engineer/Architect
(Please print name&circle license type.) *FS468.Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection. .
On or about l I � 9
,I did personally inspect the roof deck nailing
( ate)
work at: ` 10C) 'e 1-41 .., •
tJob site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existin ilding Code Section 708 or the product approval submitted (whichever
is most s gent).
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Signature and Seal License#
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STATE OF FLORIDA1 �
COUNTY OF , Glee,._.
sw9r.flpo and subscribed before"me this l i . day of .1 . .. 20f
ier
14&—1 t1h , L. i r� ads miu,.......who i.._who is personally known to me or who has •roduced
as identification. '--`
Notary Public,State of Flori•. / YraKKENN'l
Signature of Notary: .„,..‘".1 _� t 3% Commission Eta"1 4499
Commission.Number: * a3 ? Exli6tssSeptember19,2D21
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